Application For Development/construction

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LOCKHART SHIRE COUNCIL
Application No
65 Green Street
(PO Box 21)
Receipt No
LOCKHART NSW 2656
Ph: (02) 6920 5305
Receipt Date
Fax: (02) 6920 5247
Email:
mail@lockhart.nsw.gov.au
Website:
DA
CC
APPLICATION FOR DEVELOPMENT /
OC
CONSTRUCTION
LSL
Environmental Planning & Assessment Act 1979
PL
Local Government Act 1993
Environmental Planning & Assessment Regulations
Other
APPLICANT DETAILS
TYPE OF CONSENT
□
NAME
DEVELOPMENT APPLICATION (DA)
□
POSTAL ADDRESS
CONSTRUCTION CERTIFICATE (CC)
□
PHONE
COMPLYING DEVELOPMENT CERTIFICATE (CDC)
FAX
APPLICATION STAGE
□
MOBILE
NEW APPLICATION
□
EMAIL
MODIFICATION TO EXISTING DA NO.
__________
□
SIGNATURE
REVIEW OF DETERMINATION OF DA NO.
__________
LAND OWNER DETAILS (ALL OWNERS TO SIGN)
LOCAL GOVERNMENT APPROVAL (Sect. 68)
NAME (1)
INSTALL A MANUFACTURED HOME OR MOVEABLE
□
DWELLING
NAME (2)
□
CONNECTION TO SEWER POINT OR RISER
POSTAL ADDRESS
□
CONNECTION TO SEPTIC/ON-SITE SEWER SYSTEM
PHONE
□
CONNECTION OF STORMWATER TO KERB/GUTTER
FAX
□
INSTALL A DOMESTIC OIL/SOLID FUEL HEATING DEVICE
MOBILE
DEVELOPMENT TYPE
EMAIL
□
CHANGE OF USE OF LAND/BUILDING
SIGNATURE (1)
□
DEMOLITION
SIGNATURE (2)
□
UNDERTAKING OF WORKS
LAND DETAILS
□
ERECTION OF BUILDING
STREET NO.
STREET NAME
SUBDIVISION
□
SUBDIVISION OF LAND
TOWN/SUBURB
□
SUBDIVISION OF BUILDING
STATE/POSTCODE
□
BOUNDARY ADJUSTMENT
LOT, SECTION
□
OTHER (Please specify): __________________________
DP
NUMBER OF NEW LOTS CREATED (If applicable): ___________
PROPERTY NAME

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